HomeMy WebLinkAbout1500 W Airport Blvd 13RE
g CITY OF SANFORDMAY1217
BUILDING. & FIRE PREVENTION1,17BY - PERMIT APPLICATION
Application No: Documented Construction Value:
Job Address: IG 00 W P- P 9z7 L\J 1) Historic District: Yes No 0
Parcel ID: Zoning:'
Description of Work: 17- c. as e-1 &nay—
Plan Review' Contact Person:" -5 v- ,j ry -s-=,J Title:
Phone: Fax: E-mail:
Property Owner Informafion
Name . P V,\) C-- OL - 0 r-.,o V, --A.C> n ss e- Phone: y 0 --yC 13
Resident of property?,:-. Street: Q
City, Stater Zip: Se*j
Contractor Info r-mation
Name E-v\j N NA n 0— L. Phone: 3 IB -
Street: 2eo \ N F t,0 I'C L Fax:
City, State Zip. 3 State License No.: C. ,c0p >Z
Architect/Engineer Information'.
Phone:
Street:
City') St9 Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender':
Address:
PERMIT INFORMATION
BuildingPermit 13
Square footage: Construction. Type:
No. of Dwelling, Units: Flood Zone:
Electrical N
New Service - No. of AMPS:
Mechanical 13 (Duct layout required for new systems)
No. of Stories:
Plumbing El
New Construction = No. of Fixtures:, -
Fire Sprinkler/Alarm E3 No. of heads:._
r
Application is hereby made to obtain a permit to do the work 'and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit iand that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction:' -'=I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this
property that may be found in the public records of this county, and there may be additional permits required
from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify,the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER: ,k
BUILDING:
Rev 11.08
e1r ¢1 @@ Page No. of Pages
MARTELResideritial- Lt. C/3ninjeresal - Lt. spy-idustriac
2611 Sh prock Court Ceitona, Florida 3- i 3S
PROPOSAL SUBMITTED TO PHONE DATE
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STR ET JOB NAME -
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CITY, STATE and ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for: -
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We prOPUSP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($ '' fig. e) ).
Payment to be made as follows:
7 a rej ;./ p er Ei ' i / .. a = !, /d
All material is guaranteed to be as specified. All work to be completed in a workmanlike _1
manner according to standard practices. Any alteration or deviation from above specifications Authorized
Signature"4f y
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within) days.
irreptaure of proposal —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above. o
Date of Acceptance: Signature
To Km'dar.
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